Individual
PATRICIA ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
539 CONWAY RD APT 202, FAIR BLUFF, NC 28439-9546
(843) 877-6591
Mailing address
539 CONWAY RD APT 202, FAIR BLUFF, NC 28439-9546
(843) 877-6591
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747A0650X
CAREGIVER
—
Enumeration date
01/28/2022
Last updated
01/28/2022
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